Related Experiment Video
Updated: May 15, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Wet and dry hands after video-assisted thoracoscopic pleurectomy
Thomas J van Brakel1, Wouter B Barendregt
1Department of Surgery, Canisius Wilhelmina Hospital, Nijmegen, Netherlands.
Abstract:
Damage to the thoracic sympathic chain is a rare complication of video-assisted thoracic surgery (VATS) pleurectomy. We report our experience with a patient who underwent parietal pleurectomy and bullectomy by VATS and postoperatively suffered from palmar anhydrosis and compensatory controlateral hyperhidrosis. The possible mechanisms of nerve damage and various techniques of performing pleurectomy are discussed.
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